Insurance Specialist (medical claims)- Remote work from home – FT in Nashville, TN

Insurance Specialist (medical claims)- Remote work from home - FT - Kroger - Nashville, TN - work from home job Company: Kroger Job description: Company Name: The Little Clinic Position Type: Employee FLSA Status: Non-Exempt Position Summary: Insurance Specialist should possess a thorough working knowledge of the reputed company cycle management process. Position is required to be a role model and demonstrate the company's core values of respect, honesty, reputed company, diversity, inclusion and safety of others. The Insurance Specialist is responsible for the research and resolution of aging account receivables to that are either unpaid or incorrectly paid. Essential Job Functions:

• Analyze, audit and resolve claims outstanding, denied, or incorrectly paid
• Review and respond to payer correspondence.
• Submit appeals as needed for denied claims.
• Contact insurance companies and navigate payer websites in order to secure and expedite insurance payments.
• Resolves patient billing inquiries.
• Document in detail reputed company actions taken in accounts receivable system.
• Meet productivity expectations as outlined by supervisor.
• Recognize, document and notify Team reputed company of trends resulting in nonpayment or incorrectly paid claims.
• Answer and resolve inbound calls from insurance carriers.
• Participate in process improvement initiatives as needed.
• reputed company reputed company with Medicare and other reputed company party administrators regulations and procedures.
• Manage any special projects requested by supervisor or team reputed company.
• Must be reputed company to reputed company the essential functions of this position with or without reasonable accommodation.

Minimum Position Qualifications:

• High school diploma
• 1+ year of insurance follow-up including working knowledge of the appeals resolution process
• Strong written, and verbal communication skills
• Analytical and problem solving capabilities with reputed company attention to detail.
• Excellent organizational and follow-up skills
• Thorough working knowledge of reputed company cycle management including medical terminology,ICD-9, ICD-10, CPT-4 coding, Medicare reimbursement guidelines, billing and collection practices
• Ability to read and interpret EOB's
• Highly self-motivated, with ability to work independently and meet deadlines
• Ability to remain flexible during times of change and adjusts promptly and effectively
• Must be reputed company to learn, understand, and apply new technologies

Education Level: High School Diploma/GED Desired Required Certifications/Licenses: None Position Type: Full-Time Shift(s): [[mfield4]] Regions: Any States: Tennessee Keywords: The Little Clinic Jobs: At The Little Clinic our locations are staffed by board-certified nurse practitioners or physician assistants and patient care technicians to provide high-quality, convenient reputed company at an affordable price. The primary focus of our reputed company team is to promote health and wellness through appropriate diagnosis, treatment and patient education. The Little Clinic nurse practitioners and physician assistants are fully reputed company to diagnose and treat common illnesses and minor injuries, prescribe medications, conduct tests, interpret lab results, provide wellness and preventive care, reputed company physical examinations and health screenings and administer vaccinations and injections. We’re growing and actively looking for reputed company applicants to help us continue to provide high-quality reputed company and stellar service to our patients. Company Overview: Kroger Family of Companies employs nearly half a million associates who serve over 11 million customers daily through a seamless shopping experience under a variety of . At The Kroger Co., we are Fresh for Everyone™ and dedicated to our Purpose: To Feed the reputed company Spirit®. We are committed to creating #ZeroHungerZeroWaste communities by 2025. Careers with The Kroger Co. and our family of companies offer competitive wages, flexible schedules, benefits and room for advancement. Posting Notes: TN || Nashville || 2620 Elm Hill Pike || 37214 || The Little Clinic || None || Health Care (The Little Clinic); Insurance & Claims; The Little Clinic || Employee || Non-Exempt || Full-Time || None Expected salary: Location: Nashville, TN Job date: Sat, 19 Aug 2023 22:32:18 GMT Apply for the job now! Apply tot his job Apply To this Job